Improving depression and anxiety self-management via Spanish language, digital cognitive behavior therapy (dCBT) (SUPERA study)
Principal Investigator: Adrian Aguilera and Stephen Schueller
What is it?
The SUPERA project investigates the implementation of an evidence-based, Spanish language, digital cognitive-behavioral therapy (dCBT) intervention (SilverCloud) in safety-net primary care clinics for Limited English Proficiency (LEP) Latinx patients with depression and/or anxiety. This study is an effectiveness-implementation hybrid trial (Type 2) design with both provider and patient-level randomization being conducted. At the provider-level the investigators will compare outreach (using the clinic patient registry) with inreach (traditional provider referral), at the patient-level two modes of delivery of the dCBT platform- peer supported and unsupported will be compared.
The dCBT application Silvercloud was created by Amwell and has been seen to be affective in other countries like the UK and Colombia. With the help of this app, SUPERA contributes to the continuous work in mobile applications that promotes positive behavior change in mental health and beyond.
Below is a list of past studies that used SilverCloud as an intervention:
1. Salamanca-Sanabria, A., Richards, D., & Timulak, L. (2019). Adapting an internet-delivered intervention for depression for a Colombian college student population: An illustration of an integrative empirical approach. Internet interventions, 15, 76–86. https://doi.org/10.1016/j.invent.2018.11.005
2. Salamanca-Sanabria, A., Richards, D., Timulak, L., Connell, S., Mojica Perilla, M., Parra-Villa, Y., & Castro-Camacho, L. (2020). A Culturally Adapted Cognitive Behavioral Internet-Delivered Intervention for Depressive Symptoms: Randomized Controlled Trial. JMIR mental health, 7(1), e13392. https://doi.org/10.2196/13392
3. Doherty G, Coyle, D., Sharry J. Engagement with online mental health interventions: an exploratory clinical study of a treatment for depression. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems; 2012.
4. Richards D, Enrique A, Eilert N, et al. A pragmatic randomized waitlist-controlled effectiveness and cost-effectiveness trial of digital interventions for depression and anxiety. NPJ Digit Med. 2020;3:85